Category

antidoping

Category
The fight against doping is not primarily a fight against fallible athletes and coaches but rather a fight for clean athletes and coaches. Therefore, the present study aimed to investigate how Swiss athletes and coaches perceive the doping problem and the current anti-doping policy. Two online surveys of 1040 Swiss squad coaches and 588 Swiss athletes of various sports were conducted in 2016 and 2017. 41.5% of athletes and 31.5% of coaches identified a serious doping problem in their sport. This perception varied significantly by sport (p≤0.001). 94.2% of athletes and 91.7% of coaches argued in support of a strict prohibition of doping.
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The body of evidence on structural prevention is scarce and needs further development. This study contributes to international research by analysing 10-year outcomes of a multicomponent programme promoting a healthy sports setting in Switzerland. Data were collected in 2007, 2011 and 2015, enabling a longitudinal perspective on outcomes. Telephone interviews, case studies, online-surveys and analysis of key documents and data were conducted. The programme «cool and clean» is well known and accepted by key partners. Partnering between the health and the sports sector has improved visibly and cantonal ambassadors are well established.
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Within a clinical sports medical setting the discussion about doping is insufficient. In elite-sports use of pharmaceutical agents is daily business in order to maintain the expected top-level performance. Unfortunately, a similar development could be observed in the general population of leisure athletes where medical supervision is absent. As a sports physician you are facing imminent ethical questions when standing in between. Therefore, we propose the application of a standardised risk score as a tool to promote doping-prevention and launch the debate within athlete-physician-relationship.
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There is a strong belief among the general population that sport has positive effects. However, only some preventive effects of sport meet these high expectations. Numerous studies have specifically shown that sport does not protect people from the consumption of legal and illegal drugs such as alcohol, tobacco and cannabis. For this reason, the umbrella organisation of Swiss sports associations (Swiss Olympic), the Federal Office of Sport (FOSPO) and the Federal Office of Public Health (FOPH) teamed up as early as 2003 and launched the “cool and clean” prevention programme.
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